| NPI | 1134244734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN LEE PERRY President 801-225-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 142103) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-10-14 |